This referral form is to be used by University Centre Leeds HE students who wish to discuss the mental health support available.

If a member of staff is completing the referral, please ensure that the student's permission has been gained before the referral form is submitted.

The Luminate Education Group Board and management are committed to compliance with data protection in respect of personal data, and the protection of the “rights and freedoms” of individuals whose information Luminate Education Group collects and processes in accordance with the General Data Protection Regulation (GDPR). Please follow this link to read our college policy documents on GDPR :
https://www.leedscitycollege.ac.uk/the-college/corporate-documents/

This form will only be seen by the University Centre Leeds Mental Health Team.

Once we have received your referral form we will contact you to discuss how to support you and offer a one-to-one session. If you have any questions about the form, please contact sasha.joseph@ucleeds.ac.uk.